Hospital Costs > In Pennsylvania > Clearfield Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 47 | 469 / 81 | $17.775,20 | 164 / 14 | $10.272,90 | 402 / 20 | $9.353,49 | 402 / 30 |
| Heart Failure & Shock W Cc | 42 | 236 / 70 | $10.265,30 | 137 / 10 | $5.584,98 | 440 / 19 | $4.833,02 | 440 / 34 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 85 | $34.311,80 | 414 / 30 | $12.090,60 | 693 / 27 | $10.613,40 | 683 / 47 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 29 | $8.045,38 | 115 / 8 | $4.022,52 | 242 / 25 | $3.020,79 | 240 / 24 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 47 | $12.077,80 | 241 / 11 | $5.323,32 | 367 / 19 | $4.390,89 | 366 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 54 | $11.205,00 | 193 / 13 | $5.560,22 | 503 / 18 | $4.646,52 | 500 / 38 |
| Heart Failure & Shock W Mcc | 25 | 259 / 72 | $15.804,40 | 183 / 13 | $8.282,24 | 413 / 13 | $7.577,68 | 413 / 26 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 51 | $14.620,80 | 291 / 13 | $6.623,96 | 316 / 16 | $5.583,04 | 315 / 26 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 68 | $9.493,45 | 241 / 17 | $4.461,85 | 424 / 18 | $3.561,05 | 424 / 32 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 53 | $10.977,70 | 13 / 2 | $8.181,89 | 682 / 16 | $7.540,84 | 682 / 34 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 34 | $9.697,56 | 94 / 5 | $4.635,06 | 320 / 16 | $3.784,94 | 319 / 28 |
| Renal Failure W Cc | 18 | 203 / 63 | $8.767,11 | 39 / 2 | $5.374,89 | 474 / 16 | $4.723,67 | 470 / 32 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 39 | $8.342,88 | 4 / 1 | $8.855,65 | 244 / 9 | $8.413,06 | 244 / 28 |
| G.I. Hemorrhage W Cc | 17 | 201 / 59 | $14.546,60 | 265 / 18 | $5.697,00 | 680 / 20 | $5.072,18 | 679 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 64 | $11.841,80 | 136 / 14 | $6.084,76 | 357 / 16 | $5.047,94 | 356 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 49 | $9.676,94 | 97 / 6 | $4.578,31 | 313 / 16 | $3.624,81 | 313 / 27 |
| Cellulitis W/O Mcc | 15 | 174 / 71 | $11.209,10 | 381 / 30 | $4.876,93 | 539 / 22 | $3.920,40 | 536 / 40 |
| Renal Failure W Mcc | 15 | 180 / 50 | $13.396,50 | 34 / 4 | $8.687,60 | 321 / 17 | $7.771,20 | 321 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 85 | $8.692,73 | 134 / 7 | $4.383,93 | 205 / 18 | $3.123,67 | 205 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 54 | $7.640,50 | 116 / 6 | $4.178,93 | 277 / 25 | $3.101,21 | 277 / 27 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 51 | $13.995,00 | 101 / 6 | $6.738,08 | 252 / 10 | $6.024,54 | 252 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 45 | $8.741,42 | 6 / 1 | $6.618,42 | 162 / 7 | $5.776,58 | 162 / 18 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $19.267,80 | 12 / 2 | $12.160,60 | 206 / 8 | $11.574,50 | 204 / 18 | Total 23 procedures | 489 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.